Insulet Corporation 017 Manuale Utente
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Handling Special Situations
Sick days
Any physical stress can cause your blood glucose to rise, and ill-
ness is a physical stress. Your healthcare provider can help you
make a plan for sick days. The following are only general
guidelines.
ness is a physical stress. Your healthcare provider can help you
make a plan for sick days. The following are only general
guidelines.
When you are ill, check your blood glucose more often (at least
once every 2 hours) to avoid DKA. The symptoms of DKA are
much like those of the flu. Before assuming you have the flu,
check your blood glucose to rule out DKA (see ”Diabetic ketoaci-
dosis (DKA)” earlier in this chapter).
once every 2 hours) to avoid DKA. The symptoms of DKA are
much like those of the flu. Before assuming you have the flu,
check your blood glucose to rule out DKA (see ”Diabetic ketoaci-
dosis (DKA)” earlier in this chapter).
To handle sick days
•
Treat the underlying illness to promote faster recovery.
•
Eat as normally as you can.
•
Adjust bolus doses, if necessary, to match changes in meals
and snacks.
and snacks.
•
Always continue your basal insulin, even if you are unable to
eat. Contact your healthcare provider for suggested basal
rate adjustments during sick days.
eat. Contact your healthcare provider for suggested basal
rate adjustments during sick days.
•
Check your blood glucose every 2 hours and keep careful
records of results.
records of results.
•
Check for ketones when blood glucose is 250 mg/dL or
higher.
higher.
•
Follow your healthcare provider’s guidelines for taking addi-
tional insulin on sick days.
tional insulin on sick days.
•
Drink plenty of non-caffeinated fluids to prevent dehydra-
tion.
tion.
•
Call your healthcare provider immediately if you have:
•
Persistent nausea
•
Vomiting for more than 2 hours
•
High blood glucose or ketones that stay high even
though you take extra insulin
though you take extra insulin
•
Low blood glucose with nausea and vomiting
Exercising, playing sports or working hard
Check your blood glucose levels before, during and after exercis-
ing, playing sports, or doing unusually hard physical labor.
ing, playing sports, or doing unusually hard physical labor.
The Pod’s adhesive keeps it securely in place for up to 3 days.
However, if necessary, several products are available to enhance
adhesion. Ask your healthcare provider about these products.
However, if necessary, several products are available to enhance
adhesion. Ask your healthcare provider about these products.
Avoid getting body lotion, creams, or oils near the infusion site;
these products may loosen the adhesive.
these products may loosen the adhesive.
If you are well enough to eat, drink sugar-free bever-
ages. However, if you are too sick to eat solid foods,
alternate between sugar-free beverages and those
containing sugar.
ages. However, if you are too sick to eat solid foods,
alternate between sugar-free beverages and those
containing sugar.